Most Relevant Information
Provider Data
| NPI Number: | 1003449422 |
| Provider Name: | MARGARET ANN FULLER |
| Entity Type: | Individual |
| Taxonomy Code: | 225XP0019X |
| Specialty: | Occupational Therapist |
| License Number: | OT2048 |
Most Important Dates
| Enumeration Date: | 02/13/2020 |
| Last Updated: | 09/22/2021 |
Provider Practice Location
15004 INNOVATION DR
SAN DIEGO
CA
921283491
Practice Location Phone/Fax
| Phone: | 8586057189 |
| Fax: |
Provider Mailing Location
10790 RANCHO BERNARDO RD
SAN DIEGO
CA
921275705
Provider Mailing Phone/Fax
| Phone: | 7607045612 |
| Fax: | 8584041803 |